Abstract
Pressure ulcers are a recurring problem in the hospital environment, directly related to the health status of individuals. In critically ill patients, admitted to intensive care units, these lesions often appear associated to the medical devices to which they are connected. The literature review concludes that, sometimes, nursing interventions to prevent these injuries are undervalued hence, associated with the risk factors of critically ill patients, it leads to an increase in the incidence of injuries. The present Scoping Review aimed to answer the research question, formulated according to the PCC acronym: “What are the nursing interventions for the prevention of pressure ulcers associated to medical devices in intensive care units?”. The data search made in the MEDLINE and CINAHL databases, with inclusions criteria, allowed the identification of primary and secondary articles published between 2017 and 2022. The results of this secondary study show the medical devices that are most associated with pressure injuries in intensive care units are the nasogastric tube, the non-invasive ventilation face mask, the urinary catheter, the pulse oximeter, the electrocardiogram monitoring electrodes and venous catheters. Preventive measures include: nursing care in the fixation of medical devices; frequent repositioning of medical devices; protection and padding of body areas in contact with medical devices; replacement of rigid devices with flexible devices, when available; professional attention so that medical devices are not under patients; early assessment and removal of medical devices when clinically possible. It is concluded that as the incidence of this problem is an indicator of the quality and safety of health care, health institutions should implement policies to assess, prevent and treat it. There is a need to think of technological solutions that can reduce the risk and/or achieve the determination of skin changes suggestive of risk of injury.
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João, F. et al. (2023). Nursing Interventions in the Prevention of Pressure Ulcers Associated with Medical Devices in Intensive Care: A Scoping Review. In: Moguel, E., de Pinho, L.G., Fonseca, C. (eds) Gerontechnology V. IWoG 2022. Lecture Notes in Bioengineering. Springer, Cham. https://doi.org/10.1007/978-3-031-29067-1_9
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